NGN Maternal Nursing Practice Questions | HESI,
ATI & NCLEX-NGN Clinical Judgment Q&A
(Pregnancy & Prenatal Care)
A pregnant client at 10 weeks’ gestation presents with vaginal
spotting. Which assessment finding would be most concerning to
the nurse?
• CORRECT ANSWER
• Lower abdominal cramping with bleeding
A nurse is caring for a client with gestational diabetes mellitus.
Which outcome best indicates effective management of the
condition?
• CORRECT ANSWER
• Blood glucose levels remain within target range
A client at 32 weeks’ gestation reports decreased fetal movement.
What is the priority nursing instruction?
• CORRECT ANSWER
• Perform a fetal kick count and report fewer than 10
movements in 2 hours
A nurse reviews laboratory results for a pregnant client with
suspected preeclampsia. Which finding requires immediate
intervention?
• CORRECT ANSWER
• Proteinuria with elevated blood pressure
A pregnant client reports heartburn during the third trimester.
Which teaching should the nurse provide to reduce symptoms?
• CORRECT ANSWER
• Eat small, frequent meals and avoid lying down after eating
,A nurse prepares to perform Leopold’s maneuvers on a pregnant
client. What is the primary purpose of this assessment?
• CORRECT ANSWER
• To determine fetal position and presentation
A client at 24 weeks’ gestation is prescribed iron supplements.
Which statement by the client indicates understanding of
medication teaching?
• CORRECT ANSWER
• “I will take the iron with orange juice.”
A pregnant client reports sudden onset of severe abdominal pain
and vaginal bleeding in the third trimester. Which condition
should the nurse suspect first?
• CORRECT ANSWER
• Placental abruption
A nurse is caring for a client with hyperemesis gravidarum. Which
assessment finding indicates the client is at highest risk for
complications?
• CORRECT ANSWER
• Presence of ketones in the urine
A pregnant client with Rh-negative blood type delivers a healthy
newborn. Which intervention is most important to prevent
isoimmunization?
• CORRECT ANSWER
• Administer Rh immune globulin (RhoGAM) to the mother
A nurse is teaching a pregnant client about warning signs during
pregnancy. Which symptom should the nurse instruct the client to
report immediately?
• CORRECT ANSWER
, • Severe headache with visual disturbances
A client at 36 weeks’ gestation reports clear fluid leaking from the
vagina. What is the priority nursing action?
• CORRECT ANSWER
• Assess for rupture of membranes
Which piece of equipment does the nurse use to assess the fetal
heartbeat?
- CORRECT ANSWER
-Electronic Doppler
A pregnant woman reports to the clinic complaining of loss of
appetite, weight loss, and fatigue, and tuberculosis is suspected. A
sputum culture reveals Mycobacterium tuberculosis. The nurse,
providing instructions to the mother regarding therapeutic
management of the disease, tells the mother that:
- CORRECT ANSWER
-The mother may need to take isoniazid (INH), pyrazinamide, and
rifampin (Rifadin) for a total of 9 months
A nurse assists a pregnant client who is in the second trimester
into lithotomy position on the examining table in the
obstetrician's office. The client suddenly becomes dizzy,
lightheaded, nauseated, and pale. The nurse immediately:
- CORRECT ANSWER
-Positions the client on her side
, A nurse is monitoring a client who was given an epidural opioid
for a cesarean birth. The nurse notes that the client's oxygen
saturation on pulse oximetry is 92%. The nurse first:
- CORRECT ANSWER
-Instructs the client to take several deep breaths
A nurse is performing an assessment of a pregnant woman to
determine whether labor has begun. For which sign of true labor does
the nurse assess the client?
- CORRECT ANSWER
-Contractions that begin in the lower abdomen and back and radiate
over the entire abdomen
Placental abruption is suspected in a client who is experiencing
vaginal bleeding. On assessment, which of the following findings
would the nurse expect to note?
- CORRECT ANSWER
-Uterine tender to palpation
A clinic nurse is performing an assessment of an HIV-positive
pregnant woman during the 32nd week of gestation. Which
finding requires further follow-up?
- CORRECT ANSWER
-Increased shortness of breath and bilateral crackles in the lungs
ATI & NCLEX-NGN Clinical Judgment Q&A
(Pregnancy & Prenatal Care)
A pregnant client at 10 weeks’ gestation presents with vaginal
spotting. Which assessment finding would be most concerning to
the nurse?
• CORRECT ANSWER
• Lower abdominal cramping with bleeding
A nurse is caring for a client with gestational diabetes mellitus.
Which outcome best indicates effective management of the
condition?
• CORRECT ANSWER
• Blood glucose levels remain within target range
A client at 32 weeks’ gestation reports decreased fetal movement.
What is the priority nursing instruction?
• CORRECT ANSWER
• Perform a fetal kick count and report fewer than 10
movements in 2 hours
A nurse reviews laboratory results for a pregnant client with
suspected preeclampsia. Which finding requires immediate
intervention?
• CORRECT ANSWER
• Proteinuria with elevated blood pressure
A pregnant client reports heartburn during the third trimester.
Which teaching should the nurse provide to reduce symptoms?
• CORRECT ANSWER
• Eat small, frequent meals and avoid lying down after eating
,A nurse prepares to perform Leopold’s maneuvers on a pregnant
client. What is the primary purpose of this assessment?
• CORRECT ANSWER
• To determine fetal position and presentation
A client at 24 weeks’ gestation is prescribed iron supplements.
Which statement by the client indicates understanding of
medication teaching?
• CORRECT ANSWER
• “I will take the iron with orange juice.”
A pregnant client reports sudden onset of severe abdominal pain
and vaginal bleeding in the third trimester. Which condition
should the nurse suspect first?
• CORRECT ANSWER
• Placental abruption
A nurse is caring for a client with hyperemesis gravidarum. Which
assessment finding indicates the client is at highest risk for
complications?
• CORRECT ANSWER
• Presence of ketones in the urine
A pregnant client with Rh-negative blood type delivers a healthy
newborn. Which intervention is most important to prevent
isoimmunization?
• CORRECT ANSWER
• Administer Rh immune globulin (RhoGAM) to the mother
A nurse is teaching a pregnant client about warning signs during
pregnancy. Which symptom should the nurse instruct the client to
report immediately?
• CORRECT ANSWER
, • Severe headache with visual disturbances
A client at 36 weeks’ gestation reports clear fluid leaking from the
vagina. What is the priority nursing action?
• CORRECT ANSWER
• Assess for rupture of membranes
Which piece of equipment does the nurse use to assess the fetal
heartbeat?
- CORRECT ANSWER
-Electronic Doppler
A pregnant woman reports to the clinic complaining of loss of
appetite, weight loss, and fatigue, and tuberculosis is suspected. A
sputum culture reveals Mycobacterium tuberculosis. The nurse,
providing instructions to the mother regarding therapeutic
management of the disease, tells the mother that:
- CORRECT ANSWER
-The mother may need to take isoniazid (INH), pyrazinamide, and
rifampin (Rifadin) for a total of 9 months
A nurse assists a pregnant client who is in the second trimester
into lithotomy position on the examining table in the
obstetrician's office. The client suddenly becomes dizzy,
lightheaded, nauseated, and pale. The nurse immediately:
- CORRECT ANSWER
-Positions the client on her side
, A nurse is monitoring a client who was given an epidural opioid
for a cesarean birth. The nurse notes that the client's oxygen
saturation on pulse oximetry is 92%. The nurse first:
- CORRECT ANSWER
-Instructs the client to take several deep breaths
A nurse is performing an assessment of a pregnant woman to
determine whether labor has begun. For which sign of true labor does
the nurse assess the client?
- CORRECT ANSWER
-Contractions that begin in the lower abdomen and back and radiate
over the entire abdomen
Placental abruption is suspected in a client who is experiencing
vaginal bleeding. On assessment, which of the following findings
would the nurse expect to note?
- CORRECT ANSWER
-Uterine tender to palpation
A clinic nurse is performing an assessment of an HIV-positive
pregnant woman during the 32nd week of gestation. Which
finding requires further follow-up?
- CORRECT ANSWER
-Increased shortness of breath and bilateral crackles in the lungs
